Authors : Geetanjali T Chilkoti, Prakriti Maurya, Rachna Wadhwa, Medha Mohta, Anju Gupta
DOI : 10.18231/j.ijca.2022.099
Volume : 9
Issue : 4
Year : 2022
Page No : 500-503
Background: The obstetric population has been most vulnerable in this COVID-19 pandemic. We could not retrieve any study evaluating the safety and efficacy of anaesthetic techniques in parturients with COVID-19 undergoing caesarean delivery (CD) from South Asian Sub-continent. We, herein present the detailed clinical analysis and anaesthetic management of a case series of seven parturient with COVID-19 undergoing CD under subarachnoid block (SAB) in a tertiary care designated COVID hospital in the city of Delhi between June and December 2020.
Case Presentation: Herein, we report 7 parturients with mild COVID-19 disease undergoing CD under SAB. Our observations are that the use of SAB was associated with transient haemodynamic perturbations in terms of hypotension in 3 patients and bradycardia in one patient. The neonatal outcome was observed to be favourable.
Conclusions: To conclude, our experience is that SAB is safe and effective for parturient with mildly symptomatic COVID-19 disease; however, was found to be associated with transient haemodynamic changes exclusively in parturients with anaemia.
Keywords:COVID- 19 disease, Caesarean delivery, Subarachnoid block